To qualify for the benefit, the participant must be over the age of five, have Basic or Enhanced Medicaid coverage, and meet the following weight criteria:
You can check BMI by using the Centers for Disease Control (CDC) Child and Teen BMI Calculator.
To qualify for this benefit you must complete a PHA Weight Management Agreement Form. In order to be approved for services all blanks must be filled in. There is an Adult Agreement Form and a Child Agreement Form. Once completed, return it to the Department for processing by faxing it to (877) 845-3956.
Qualifying participants will receive a $200 annual benefit to help pay weight management program fees at a participating approved WM – PHA organization. This benefit is paid directly to the organization chosen on the agreement form. Weight Management - PHA organization Lists are separated into three separate sections of the state Northern, Western, and Eastern Idaho.
Children's Wellness Benefit
Children's Health Insurance Program (CHIP) is a low-cost health coverage program for children under age 19 whose family income is too high to qualify for Medicaid. There may be a small monthly premium ($10 or $15, depending on your income) for each child enrolled in CHIP. To qualify for CHIP a child must:
Children who have private health insurance do not qualify for CHIP.
Live in Idaho, be under the age of 19, be a U.S. citizen or legal resident, and be within the family income guidelines.
If your child is on CHIP and you pay a monthly premium for your child’s Medicaid coverage, your child is eligible for the wellness PHA benefit. By keeping your child’s well-child checks and immunizations current you can qualify to receive a $10 deduction in your monthly premiums.
If you have additional questions about if your child is eligible for CHIP please contact (877) 456-1233.
Children should have a well-child check at the following ages:
Babies (up to 1 year) Toddlers (1-3 years)
1 Week - 1 Month 15 Months
2 Months 18 Months
4 Months 24 Months
6 Months 30 Months
Note: Please don't forget to do your 30 month check up.
Children ages 3-19
Children ages 3-19 need a check-up every year. You should also ask your doctor which immunizations your child needs and to enter the immunization record into IRIS - Idaho's Immunization Registry.
If you don't have a doctor for your child, call the Healthy Connections Unit at (888) 528-5861.
For more information about PHA, please call us toll-free at (877) 364-1843 or you can email us email@example.com
Our address is:
Department of Health & Welfare, Division of Medicaid
PO Box 83720
Boise, ID 83720-0009